Individual
EVAN MARTIN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5959 CENTRAL AVE, ST PETERSBURG, FL 33710-8502
(727) 767-6060
Mailing address
5959 CENTRAL AVE, ST PETERSBURG, FL 33710-8502
(727) 767-6060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS15583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101036500
—
FL
01
—
KH655
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/01/2013
Last updated
08/04/2023
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